Active NPI
Andrew Douglas Pearlman, MD
- Radiation Oncology Physician
- Islandia, NY
National Provider Identifier
1386733319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 177679
- Practice address
- 1324 Motor Pkwy
Islandia, NY 11749-5262 - Phone
- (631) 963-7700
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 177679 | NY | Primary |
| Radiation Oncology Physician | 2085R0001X | ME 96236 | FL | |
| Radiation Oncology Physician | 2085R0001X | 9834 | ND |
Addresses
Primary practice location
1324 Motor Pkwy
Islandia, NY 11749-5262
Mailing address
532 Broadhollow Rd
Suite 142
Melville, NY 11747-3672
Phone (516) 931-0041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3111 New Hyde Park Rd
New Hyde Park, NY 11042-1209
Phone (516) 394-9600
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.57 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 96236 | FL | MD | Radiation Oncology Physician |
| 9834 | ND | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ranjit S Dhaliwal, Phy, PLLC | Radiation Oncology | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Integrated Medical Professionals PLLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Lake Success, NY
- NPI 1346203536
-
- Non-Pharmacy Dispensing Site
- New Hyde Park, NY
- NPI 1073918009
-
- Radiation Oncology Physician
- Hornell, NY
- NPI 1770561888
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336694400000",
"number": "1386733319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 BROADHOLLOW RD",
"address_2": "SUITE 142",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473672",
"telephone_number": "516-931-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 MOTOR PKWY",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117495262",
"telephone_number": "631-963-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARLMAN",
"first_name": "ANDREW",
"middle_name": "DOUGLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2012-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NY",
"license": "177679",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME 96236",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "ND",
"license": "9834",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Islandia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.